45D2194893 CLIA NUMBER - CINCO WEST PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D2194893
  • Facility Name: CINCO WEST PEDIATRICS
  • Facility Address: 9006 S FRY ROAD, SUITE D
    KATY, TX
    ZIP 77494
  • Facility Phone: 281 665-3013
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAQUEL M. SAGULLO
  • NPI Number: 1841741907
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2194893
LAB Type Physician Office
Facility Name CINCO WEST PEDIATRICS
Street 9006 S FRY ROAD, SUITE D
City KATY
State TX
ZIP 77494
Phone 281 665-3013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Physician Office
Lab Director RAQUEL M. SAGULLO

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This page was last updated on: 9/29/2025